J Yeungnam Med Sci, 2023 · DOI: 10.12701/jyms.2023.00689 · Published: September 20, 2023
This study examines the occurrence of deep vein thrombosis (DVT) and pulmonary thromboembolism (PTE) in Korean patients with spinal cord disease undergoing rehabilitation. These conditions are major complications that can arise due to impaired mobility and changes in blood coagulation following spinal cord injuries. The study found that both DVT and PTE occurred in 6.3% of the patients within three months of the spinal cord disease onset. Older age (65 years or older) and limited ability to walk independently were identified as risk factors for developing DVT. The researchers suggest that early screening for DVT and PTE should be conducted in patients with acute-to-subacute spinal cord disease, regardless of whether they exhibit specific risk factors, to ensure timely intervention and prevention of severe complications.
Hospitals and rehabilitation centers should implement routine screening protocols for DVT and PTE in patients with spinal cord disease, especially those admitted within 3 months of onset.
Interventions should target modifiable risk factors, such as improving functional ambulation through rehabilitation programs, and providing prophylactic measures for high-risk patients (e.g., those aged ≥65 years).
Healthcare providers should be educated about the heightened risk of DVT and PTE in spinal cord disease patients, particularly those with traumatic injuries, to promote early detection and management.